Psychosocial Rehabilitation for Social Anxiety Disorder: Effects on Self-Determination and Collective Efficacy
Keywords:
Social anxiety disorder, psychosocial rehabilitation, self-determination, collective efficacy, randomized controlled trial, mental health, intervention, long-term outcomesAbstract
This study aims to evaluate the effectiveness of a psychosocial rehabilitation program in enhancing self-determination and collective efficacy among individuals with social anxiety disorder (SAD). A randomized controlled trial was conducted with 30 participants from Tehran, diagnosed with SAD. Participants were randomly assigned to an intervention group (n = 15) or a control group (n = 15). The intervention group underwent an eight-session psychosocial rehabilitation program. Data were collected at baseline, post-intervention, and five-month follow-up using the Self-Determination Scale (SDS) and the Collective Efficacy Scale (CES). Statistical analyses included repeated measures ANOVA and Bonferroni post-hoc tests, conducted using SPSS-27. The intervention group showed significant improvements in self-determination from baseline (M = 24.67, SD = 5.43) to post-intervention (M = 32.12, SD = 4.89) and follow-up (M = 31.78, SD = 5.12) compared to the control group, which showed no significant changes (baseline: M = 23.89, SD = 5.67; post-intervention: M = 24.34, SD = 5.56; follow-up: M = 24.12, SD = 5.23). Similarly, collective efficacy significantly improved in the intervention group from baseline (M = 38.45, SD = 6.78) to post-intervention (M = 45.32, SD = 5.67) and follow-up (M = 44.89, SD = 5.43), while the control group showed no significant changes (baseline: M = 37.89, SD = 6.34; post-intervention: M = 38.12, SD = 6.56; follow-up: M = 38.00, SD = 6.12). ANOVA results indicated significant main effects of group and time, and significant time × group interactions for both self-determination and collective efficacy (p < .001). The psychosocial rehabilitation program effectively enhanced self-determination and collective efficacy among individuals with SAD, with these improvements sustained over a five-month follow-up period. These findings support the incorporation of psychosocial rehabilitation into therapeutic practices for SAD to improve long-term outcomes.
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Andersén, Å., Larsson, K., Lytsy, P., Berglund, E., Kristiansson, P., & Anderzén, I. (2018). Strengthened General Self-Efficacy With Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. Journal of Occupational Rehabilitation, 28(4), 691-700. https://doi.org/10.1007/s10926-017-9752-8
Assad Zadeh, H., Majdian, V., Azadi, A., Bastami, M., & Bastami, A. (2018). Examine the Relationship between Perceived Parenting Styles with Self-Regulation School Students [Paramedical]. Iranian Journal of Nursing Research, 13(4), 9-15. http://ijnr.ir/article-1-2034-en.html
Blanco, C., Nissenson, K., & Liebowitz, M. R. (2001). Social Anxiety Disorder: Recent Findings in the Areas of Epidemiology, Etiology, and Treatment. Current psychiatry reports, 3(4), 273-280. https://doi.org/10.1007/s11920-001-0019-9
Dol, J., Richardson, B., Grant, A., Aston, M., McMillan, D., Murphy, G. T., & Campbell‐Yeo, M. (2021). Influence of Parity and Infant Age on Maternal Self‐efficacy, Social Support, Postpartum Anxiety, and Postpartum Depression in the First Six Months in the Maritime Provinces, Canada. Birth, 48(3), 438-447. https://doi.org/10.1111/birt.12553
Himle, J. A., Weaver, A., Bybee, D., O’Donnell, L., Vlnka, S., Laviolette, W. T., Steinberger, E., Golenberg, Z., & Levine, D. (2014). Employment Barriers, Skills, and Aspirations Among Unemployed Job Seekers With and Without Social Anxiety Disorder. Psychiatric Services, 65(7), 924-930. https://doi.org/10.1176/appi.ps.201300201
Ichikawa, K., Fujiwara, T., & Kawachi, I. (2017). It Takes a Village: Fixed-Effects Analysis of Neighborhood Collective Efficacy and Children's Development. Journal of Epidemiology, 27(8), 368-372. https://doi.org/10.1016/j.je.2016.08.018
Jenaabadi, H., Pourghaz, A., & Shabani, M. (2017). A comparative study of the relationship between basic psychological needs of self-determination and personal adjustment in gifted and normal students. Journal of School Psychology, 6(3), 23-45. https://doi.org/10.22098/jsp.2017.583
Karimzadeh Navadian, T. (2025). Prediction of adolescent social anxiety based on parents' parenting styles. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(6), 128-136. https://doi.org/10.61838/kman.jayps.4.6.13
Knowles, S. R., Ski, C. F., Langham, R. G., O'Flaherty, E., Thompson, D. R., Rossell, S. L., Moore, G., & Hsueh, Y. (2016). Design and Protocol for the Dialysis Optimal Health Program (DOHP) Randomised Controlled Trial. Trials, 17(1). https://doi.org/10.1186/s13063-016-1558-z
Liao, J. (2025). The Effect of Appearance Anxiety on Social Anxiety Among College Students: Sequential Mediating Effects of Self-Efficacy and Self-Esteem. Behavioral Sciences, 13(8), 692. https://doi.org/10.3390/bs13080692
Masia, C. L., & Schneier, F. R. (1999). Psychosocial Treatments for Social Phobia. CNS Spectrums, 4(11), 53-60. https://doi.org/10.1017/s1092852900012505
Rasmus, P., Lipert, A., Pękala, K., Timler, M., Kozłowska, E., Robaczyńska, K., Sobów, T., Kozłowski, R., Marczak, M., & Timler, D. (2021). The Influence of a Psychosocial Rehabilitation Program in a Community Health Setting for Patients With Chronic Mental Disorders. International journal of environmental research and public health, 18(8), 4319. https://doi.org/10.3390/ijerph18084319
Sancassiani, F., Cocco, A., Cossu, G., Lorrai, S., Trincas, G., Floris, F., Mellino, G., Machado, S., Nardi, A. E., Fabrici, E. P., Preti, A., & Carta, M. G. (2017). “VelaMente?!” - Sailin in a Crew to Improve Self-Efficacy in People With Psychosocial Disabilities: A Randomized Controlled Trial. Clinical Practice and Epidemiology in Mental Health, 13(1), 200-212. https://doi.org/10.2174/1745017901713010200
Sancassiani, F., Lorrai, S., Cossu, G., Cocco, A., Trincas, G., Floris, F., Mellino, G., Machado, S., Nardi, A. E., Fabrici, E. P., Preti, A., & Carta, M. G. (2017). The Effects of “VelaMente?!” Project on Social Functioning of People With Severe Psychosocial Disabilities. Clinical Practice and Epidemiology in Mental Health, 13(1), 220-232. https://doi.org/10.2174/1745017901713010220
Sanches, S. A., Swildens, W., Schaefer, B. A., Moerbeek, M., Feenstra, T., Antoinette, D. I. v. A., Danner, U. N., Weeghel, J. v., & Busschbach, J. T. v. (2020). Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.571640
Shokre, E. S. (2024). The Effectiveness of the Psychosocial Empowerment Program in Early Adjustment Among Adult Burn Survivors. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01700-x
Zarbo, C., Compare, A., Baldassari, E., Bonardi, A., & Romagnoni, C. (2013). In Sickness and in Health: A Literature Review About Function of Social Support Within Anxiety and Heart Disease Association. Clinical Practice and Epidemiology in Mental Health, 9(1), 255-262. https://doi.org/10.2174/1745017901309010255
